Improving Advanced Care Planning Discussions at an Internal Medicine Clinic
Author Information
Author(s): Muacevic Alexander, Adler John R, Brockman Michael J, Bies Jared J, Algheriani Hedaia, Aparece John P, Cazares Parson Marco, Del Toro Mijares Raul, Massebo Eyoab, Valles Ramon G, Zay Hein, Deoker Abhizith, Hechanova Lisa A, Edwards Brian P, Sarosiek Irene
Primary Institution: Texas Tech University Health Sciences Center El Paso
Hypothesis
The project aimed to standardize advanced care planning (ACP) at an internal medicine clinic by initiating physician-patient communication regarding the patient’s knowledge, understanding, and openness to pursuing advanced medical directives.
Conclusion
This project revealed a notable gap in ACP documentation among patients at the internal medicine clinic, with very few patients having advanced directives prior to the intervention.
Supporting Evidence
- Only 1.2% of patients reported having advanced directives before this study.
- Post-intervention survey results showed a significant correlation between age and prior discussions about advanced directives.
- Standardized educational resources effectively facilitated discussions, raising awareness and promoting engagement in ACP.
Takeaway
The study showed that many patients didn't have advance care plans, but after discussions, more patients were interested in making these plans.
Methodology
Data was collected through pre- and post-intervention surveys assessing patients' knowledge and discussions about advanced care planning.
Potential Biases
The study relied on self-reported data, which may be subject to response bias.
Limitations
The sample size was small and the study duration was short, which may limit the generalizability of the findings.
Participant Demographics
The average age of participants was 59 years, with common conditions including hypertension, dyslipidemia, and diabetes.
Statistical Information
P-Value
p = 0.013; p = 0.025
Statistical Significance
p = 0.013; p = 0.025
Digital Object Identifier (DOI)
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